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Epidemiology and prognosis of primary carcinoma of the biliary tract


, : Epidemiology and prognosis of primary carcinoma of the biliary tract. Oncologia (Madrid) 7(3): 49-56

Cases (68) were presented of histologically confirmed carcinoma of the biliary tract (gallbladder and extrahepatic biliary tract). In each case history the epidemiologic data was studied: the incidence, age, sex, and previous illnesses, especially of the biliary tract. Those factors were analyzed which could affect the prognosis and thus the survivorship such as the histopathologic type, treatment employed, and in the case of extrahepatic bile duct tumor its location within the biliary tract. Epidemiologically, no difference was found from that published by other authors. Important association with biliary pathology (gallstone) is observed in gallbladder cancer, although its causative role could not be confirmed. Regarding survivorship, the papillary cell type seems to offer the best prognosis, the possibility of performing radical resection exerts a favorable influence, and in the case of extrahepatic bile duct cancer the lower one-third location is markedly more benign than the other ones.

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